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NPI Code Detail

MEDICARE: CLEAR PRACTICE PLLC

MEDICARE: CLEAR PRACTICE PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician
2261Q00000XClinic/Center

General Provider Information

NPI Number : 1386498319
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLEAR PRACTICE PLLC
Provider Business Mailing Address
First Line : 13900 RIVERPORT DR
Second Line :
City : MARYLAND HEIGHTS
State : MO
Zip : 63043-4804
Country : US
Telephone Number : 855-229-2177
Fax Number : 314-464-0759
Provider Business Practice Location Address
First Line : 7777 BONHOMME AVE STE 1800
Second Line :
City : CLAYTON
State : MO
Zip : 63105-1931
Country : US
Telephone Number : 855-229-2177
Fax Number : 314-464-0759
Authorized Official
Title or Position : OWNER
Name : SARIA SACCOCIO
Credential : MD
Telephone Number : 314-209-2800
Provider Enumeration Date : 04/16/2024
Last Update Date : 02/02/2026

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Directions to “CLEAR PRACTICE PLLC ” Practice Location

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